Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.95 / $466.80 / $2,747.00	Facility		$270.95	$466.80	$2,747.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $203.22 / $249.93 / $295.22	Facility	54	$203.22	$249.93	$295.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $328.16 / $543.54	Professional		$270.95	$328.16	$543.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.00 / $2,067.00 / $2,978.00	Facility		$1,041.00	$2,067.00	$2,978.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $286.13 / $409.74	Professional		$234.99	$286.13	$409.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.98 / $424.13 / $489.27	Facility		$298.98	$424.13	$489.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $302.95 / $424.13 / $651.28	Professional		$302.95	$424.13	$651.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.38 / $557.42 / $557.42	Facility		$321.38	$557.42	$557.42
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $390.20 / $390.20 / $390.20	Facility	54	$390.20	$390.20	$390.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.02 / $437.15 / $649.29	Professional		$320.02	$437.15	$649.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $423.33	Professional		$32.34	$32.34	$423.33
United Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $668.00 / $3,176.00	Facility		$50.00	$668.00	$3,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $304.64 / $409.94 / $633.87	Professional		$304.64	$409.94	$633.87